Ti - Cromwell Llc

NPI 1083601058 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1083601058
Enumeration Date 10/04/2005
Last Updated 09/29/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JOSEPH C JOSEPH
Position OPERATOR
Phone (860) 636-5613
Fax
Practice Location
385 MAIN ST
CROMWELL CT, 06416-2308, US
Phone (860) 636-5613
Fax
Business Location
385 MAIN ST
CROMWELL CT, 06416-2308, US
Phone
Fax
Toxanomy
Taxonomy Code 314000000X
License State Connecticut
License Number 1025C
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According to our database, Ti - Cromwell Llc NPI is 1083601058, taxonomy code is 314000000X and license number is 1025C, license state is located at Connecticut. Ti - Cromwell Llc physically located at 385 Main St, Cromwell CT, 06416-2308. NPI Number 1033115704 has the healthcare provider type.

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1083601058 NPI number is provided on an as is basis without warranty of any kind. 1083601058 is maintained by the National Plan & Provider Enumeration System. The contents of Ti - Cromwell Llc are for informational purposes only.